Comparison of the Antimicrobial Efficacy of Calcium Hydroxide and Photodynamic Therapy Against Enterococcus faecalis and Candida albicans in Teeth With Periapical Lesions; An In Vivo Study

Journal of Lasers in Medical Sciences

Fahimeh Sadat Tabatabaei¹  Afsaneh Rahmati²  Zohreh Ahangari³  Maryam Mojtahed Bidabadi³  Mohammad Asnaashari⁴ 

[1] Dental Material Department, Shahid Beheshti University of Medical Science, Tehran, Iran;Endodontic Department, School of Dentistry, Hamedan University of Medical Science, Hamedan, Iran;Endodontic Department, School of Dentistry, Shahid Beheshti University of Medical Science, Tehran, Iran;Laser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

关键词: Antimicrobial efficacy;    Calcium hydroxide;    Enterococcus faecalis;    Photodynamic therapy;    Root canal treatment;   

DOI  :  10.22037/2010.v8i2.12266

学科分类：基础医学

来源: Shahid Beheshti University of Medical Sciences

【 摘 要 】

Introduction:Elimination of pathological microflora of root canal systems is a major goal in endodontic treatment. This study aimed to compare the antimicrobial efficacy of calcium hydroxide as an intracanal medication and antibacterial photodynamic therapy (aPDT) againstEnterococcus faecalisandCandida albicansin teeth with periapical (PA) lesions. Methods:This in vivo study was conducted on 20 patients with single-rooted mandibular premolar with previously failed endodontic treatment. This study was performed as a clinical trial (IRCTID: IRCT2016090429686N1). After conventional chemo-mechanical root canal preparation (hand and rotary instruments and 2.5% NaOCl), microbiological samples were obtained using sterile paper points, then stored in thioglycolate solution and transferred to a microbiology laboratory. Group 1 (n = 10) specimens underwent aPDT (diode laser 808 nm + 50 mg/mL methylene blue), while creamy calcium hydroxide paste was used in group 2 for a duration of 1 week. A control sample was taken with sterile paper points and F3 Protaper rotary file. The samples were dispersed in transport medium, serially diluted, and cultured on selective mediums to determine the number of colony forming units (CFUs). Data were analyzed by Mann-Whitney U test at 5% significance level. The significance level for all analyses was set atP <0.05. Results:Number of CFU significantly decreased in both groups after the interventions ( P <0.001); however, there was no significant difference in the colony count between the 2 groups. Conclusion:aPDT and calcium hydroxide therapy showed the same antimicrobial efficacy onE. faecalisandC. albicans .

【 授权许可】

CC BY